# A rare case of Thoracic Aortic Aneurysm repair post Heart Transplantation

## TL;DR

A rare case of a thoracic aortic aneurysm repair is reported in a heart transplant recipient 12 years post-transplant.

## Contribution

This case highlights aneurysmal disease confined to the donor aortic segment post-heart transplant.

## Key findings

- Aneurysmal disease was confined to the donor portion of the aorta.
- Successful repair was performed 12 years after heart transplantation.
- The suture line between aortic segments may influence aneurysm localization.

## Abstract

During bicaval orthotopic heart transplant (HT), two segments of the aorta are generated, separated by a suture line. Both segments are exposed to the same systemic environment. Nevertheless, it has been observed that aneurysmal disease is confined to one of the segments of aorta. We report here a successful repair of AA, confined to the donor portion of aorta, in a HT recipient after 12 years of transplant.